Hi. I am new to this website and have enjoyed reading the postings in this forum. This coming Monday I will be starting a new position in ER after being a Tele/ Step-down nurse for almost four years. I am a little nervous because even though I have gained med-surg and cardiac background on my floor I'll need to learn so many new things ie. peds, traumas, etc. Our ER I'm told is rather busy and in a state of change (new management). I have been told I will have an orientation with a clinician and preceptor and will be required to take PALS and TNCC. I already have my ACLS. What else should I do to prepare?